| NPI | 1184850554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 290170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-55769) |
| Enumeration Date | 2009-05-30 |
| Last Update Date | 2017-10-05 |